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Basic Nursing
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Exam study book Basic Nursing of Leslie S Treas, Judith M Wilkinson - ISBN: 9780803640542 (Basic Nursing)
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Test Bank For Basic Nursing: Thinking, Doing, and Caring withDavis Advantage and Davis Edge 2nd Edition By Leslie S Treas
9780803659421 Chapter 1-46 Complete Guide .
The nurse is assessing a client after an abdominal surgery who speaks a different
language. Which nonverbal assessment changes could indicate pain is present?
Select all that apply.
Confusion
Restlessness
Poor eye contact
Moaning
Irritability - ANSWER: Confusion
Restlessness
Moaning
Irritability
The ______________ response is involuntary and includes both sympathetic and
parasympathetic responses. The sympathetic responses are seen in acute pain and
include increased systolic blood pressure, heart rate, respiratory rate, dilated blood
vessels to the brain, increased alertness, dilated pupils, and rapid speech. The
parasympathetic responses are a result of deep or prolonged pain and include
decreased diastolic blood pressure, syncope, decreased heart rate, changeable
breathing patterns, withdrawal, constricted pupils, and slow, monotonous speech. -
ANSWER: physiological pain
Anne is experiencing chest pain and shortness of breath. She has tachycardia,
hypertension, and tachypnea. Which nonverbal response is demonstrated? -
ANSWER: physiological pain
Andrew is experiencing signs of appendicitis with right lower quadrant pain. He is
being prepared for surgery. What type of pain is he experiencing? - ANSWER: acute
pain
Acute pain - ANSWER: is of rapid onset and short duration, usually only a few
months. It is usually associated with injury or surgery and may be indicative of a
more significant injury.
Roseanne has rheumatoid arthritis. The pain impairs her ability to be physically
active. She has bad days and worse days, but the pain is always there. - ANSWER:
Chronic pain
Chronic pain - ANSWER: lasts several months or longer and may interfere with
activities of daily living. It is often a result of a progressive disorder and can come
and go with remission and exacerbation. It often is accompanied by a psychological
pain response.
, Keith experienced a back injury at work. The pain shoots down his left leg and he
can't find a comfortable position that relieves his distress. He's tried every pain
management suggestion and multiple prescription pain medications with minimal
relief. - ANSWER: Intractable pain
Intractable pain - ANSWER: is highly resistant to relief. It is especially frustrating for
the patient and caregiver because multiple interventions and medications are tried
without adequate pain relief.
What type of pain scale consists of a horizontal line delineating "No pain" on one end
and "Worst pain imaginable" on the other? - ANSWER: With the visual analog scale
(VAS)
With the visual analog scale (VAS), - ANSWER: a patient points to the location on the
horizontal line that reflects his or her current pain level. It is simple and quick, but
can be confusing because of its abstract nature.
Which type of pain assessment tool rates pain on a scale of 0 to 10? - ANSWER:
numerical rating scale
Pain intensity words (adjectives) are used to describe pain. Which type of pain scale
is this? - ANSWER: THE SIMPLE DESCRIPTOR SCALE
THE SIMPLE DESCRIPTOR SCALE - ANSWER: uses words such as mild, moderate, and
severe to explain pain level. Nurses should use a few descriptive words to prevent
confusion.
Which type of pain scale uses illustrations to help describe pain? - ANSWER: The
Wong-Baker FACES
The Wong-Baker FACES - ANSWER: pain rating scale was originally designed for
children but is now used in many settings, especially for those with communication
or cognitive impairments. This scale is also helpful if the client speaks a different
language from that of the healthcare providers.
Which pain scales are used to determine a client's level of pain? Select all that apply.
OPQRST-AAA
FACES
Visual analog scale
Numeric
The intensity word scale - ANSWER: FACES
Visual analog scale
Numeric
The nurse is caring for a client with postsurgical pain. At what point is it important to
assess the pain level? Select all that apply.
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